For capitated or other health benefit plans that do not have a negotiated per-service amount for in-network providers, subdivision 58-17H-8(1) does not apply.
S.D. Codified Laws § 58-17H-9
Exceptions for payments by capitated and other plans without negotiated fees
Source: SL 2011, ch 219, § 34
Official source: South Dakota Legislature. Reproduced from public-domain South Dakota statutes; confirm against the official source for the current text. Not legal advice.